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HomeMy WebLinkAbout0105 r ~ ~ . ~ , ~~,t~.37 . ~ n ~iR<< ie ~T ~ ~6 137 Rtt~ ~j ~ ~ ~ ~ Stste File Na - ~ ~ F eu?~~ B~~ of H~a~w CERTIFICATE OF DEATH ; ~ eurean o~ Vital 8tat1stle~ pLORIDA Resiatrwr'~ I~a . • l, }WCE 0nI D 7Mt ' L UBUAL REaIDlWCE O!' D6CRASED: ~ Q / .A ~ (d Ce~V 1~•( INrlrkt Na~~ ~ l~/L~.rl~..e_ 1~) Oe~~b Pteeh~et ab4 - 1?1 PmMet ~ ~r ~ww Mt 1 O C'[+s~wlJ / !J • ~ « ~ (e/ Ciy K ~ew~ ' • • i ~ s~ .t -Tww t1 (lt aw dV ar mww 4w M. ~ ! ~ ia1 N•we st wMvt ~t ltrtitN{o~ 1(~) Stn+t Na \K ~ a~~ df ~l~l~l~ Rl~f! K~N~ ~10~lf Of Nta~~ (,t lfl IwilU ~f ~W! 1~ w~Msl ~ }~T ~ 1~ t?M c~ewww~~W ~ w~wtlr er dq~) (d T[ ferel~a borr. bw lo~t i~ U. A.f 1 . % ~ ~11W. HAriR O* D~CRAfsi1 ~ ~ • ~ ~ • (~1 If ~N~n~. ~ _ _ MRDICAL C6ti1I~CATIdN a . D~te et I~1l: I[aNl 11V ~ ~ wwe "ar ~ ~a°` / e ~ / O ' ll~.a ~ M /]~y~ 7~y~ a fs ~.OM~ w r~0! I Serebs ~1~1 t?~t {~l~l~~~t dt!lMed p . ~.'Uhsk. w~rrkl. •iM~?d ~t ~wMi ~ 1~ '1b ~ Y-~ lY i ~ i~ ~(~1 tt r ~fb~~i er 1~riw~ at tet) ' t9 t?~t I MM ww dih aa ' ~ y~ • .ue .f ~ .ea wl ~..u «+ean.a ow tAe +.M ..a ~ssr .M... w..u.. i ~ t(~) Ar e! ~asbad ~ilb If ~IM ~s~ 7~° I~nwb a~~w iwtl A ~ ~ ' ' , ~ ~ c. n~a ~.a .t ae....a ~.».w (a•s? (s~.r~ - tWn R 11pe YNn Ye~W Da• tt ~u.s o.e a,~ Ds~ Is pd ~ ~ ~ q ~~.p~ An. _ wls. Dw~ to ~ ~ - - , ~ ~ ~ i .~--~~-lU , . - ii p ~ ~!~•_?r!~ C.( ~lrf , t - ~ o~, ~ari~. ; d laW. w. a) .tat.M.r re.ehn cventn) ` (r wnJdu+l,q eb.tl..Ni) l~. 11~M1eeerP~li+ _ 4 fl. tndaslr/ ar Vas{ ~ 1[~ls~ IldlaAt 111Ve~1~ ( of M~K~tloO~ W es~M N le. x.~. al.. au.t a1»r.t~e.1 •\M::~1 ie ~ \ . ~ ~ 1 ~e ~ 6 1!_~ dirlAriree ' evrt~J N~ ; ~ d ~+~f UdkWl. ~ 11. IlaWea ~uwe _ ~ - ! ' tt. e~~uv~• rt2 ~ , u~ ~r ~.rti a.. es ~x~~.~ a...... ~n i. w te+~r: { ~ ~ 1~. Ll~~ti dlssat n (a) AeriAewt wWde. M~wkide (~oeeibl E is Aaa.~.. ~.~t A !1 7 li..t~ ~ IL) al~etocc.rre.er _ , A ~ <<~ w r~.~ a w ~a j.rs eK.rt ' N. nwi.4 lbw a te~w.lt _ • lc~ba.ea..) (C..wesl la~.a) ~ 6-~ H(r PIMe c~ • (al Dii hjeq oceat, h o~ ~bert ?ore. M fsn+. 1~ W~rtiW v~. h " • 17 D~te ~ ~afilie ~1K~t 18v~~f ~sv~ v1~1 ' 10. ?a~en) Dlr~etrR'r S~R4hn ' I ~ ~?Ylle ~t way# t/~ ) Y ir ~I M. i 1 ld 1~) Adi~s ri. Si~n~lm u/t " - ` r. s.lb. ~ 1/. FIW ~ . ? f!,-r2 H ~ ~ ~2'_L~'~_ b8i~ ~'l 6 '-f" L~tal Rt~bvat Addray ~ henbr artihr thb ro bf a tru~ .nd w?rect aopp ot the l.oc~i Resistrar's tecord on file In the St. lucie Gounty H~ahh O~pu~ , rr~t at Fwt Pierce, Florids. ' y~~.~~ , (VNa?ni Nof velid unless raised seal of the St. Lucl~ , . :i~1,? ~ ~ Counfp H~shh Departmant is affix~d.) ~~~?''ti'g ~ s• : , ~ 2° , ~ - _ N. D. MIIIER, M. D. ' ~:~r: . . Counl~l ~ellh OffkM i LOt~I Rpist?a~ j: - ~ _ " , ~ ~ " ~ . h : i ' i " y I /i i•~ ~7G 1u~F G • l/~i.°L~s+~+ .~yl~ -`.it- ; a : ~ a, 1 M ' ~ _ p~ pputY local Rsols sr ' c~'.?' ' ~ ~ . :'i.~t i ~ ; ' . ' • . ~ ' . ~ ~ , F~ • y ~ . . . ~ ~ ~ I